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NPI Code Detail

MEDICARE: MIRIAM DISCUA

MEDICARE: MIRIAM DISCUA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1861109639
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM DISCUA
Provider Business Mailing Address
First Line : 4460 S HIGHLAND DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84124-3543
Country : US
Telephone Number : 888-949-4864
Fax Number :
Provider Business Practice Location Address
First Line : 6856 S 700 E
Second Line :
City : MIDVALE
State : UT
Zip : 84047-1361
Country : US
Telephone Number : 888-949-4864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2022
Last Update Date : 11/01/2022

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Directions to “ MIRIAM DISCUA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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